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DOSS ENTERPRISES MEDICAL PLAN 401k Plan overview

Plan NameDOSS ENTERPRISES MEDICAL PLAN
Plan identification number 501

DOSS ENTERPRISES MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

DOSS ENTERPRISES, LLC has sponsored the creation of one or more 401k plans.

Company Name:DOSS ENTERPRISES, LLC
Employer identification number (EIN):010763371
NAIC Classification:211120
NAIC Description:Crude Petroleum Extraction

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DOSS ENTERPRISES MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-06-01CLINT HOLBERT2023-11-10
5012021-06-01AMANDA WOODY2022-10-11
5012020-06-01BLAKE HARDISON2021-09-07
5012019-06-01MARY BAKER2020-08-21
5012019-06-01MARY BAKER2020-08-21
5012018-06-01AMBER GORE2019-11-12
5012017-06-01
5012016-06-01

Plan Statistics for DOSS ENTERPRISES MEDICAL PLAN

401k plan membership statisitcs for DOSS ENTERPRISES MEDICAL PLAN

Measure Date Value
2022: DOSS ENTERPRISES MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-06-01113
Total number of active participants reported on line 7a of the Form 55002022-06-01124
Number of retired or separated participants receiving benefits2022-06-010
Number of other retired or separated participants entitled to future benefits2022-06-010
Total of all active and inactive participants2022-06-01124
Number of employers contributing to the scheme2022-06-010
2021: DOSS ENTERPRISES MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-06-01104
Total number of active participants reported on line 7a of the Form 55002021-06-01113
Number of retired or separated participants receiving benefits2021-06-010
Number of other retired or separated participants entitled to future benefits2021-06-010
Total of all active and inactive participants2021-06-01113
Number of employers contributing to the scheme2021-06-010
2020: DOSS ENTERPRISES MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-06-01106
Total number of active participants reported on line 7a of the Form 55002020-06-01118
Number of retired or separated participants receiving benefits2020-06-010
Number of other retired or separated participants entitled to future benefits2020-06-010
Total of all active and inactive participants2020-06-01118
Number of employers contributing to the scheme2020-06-010
2019: DOSS ENTERPRISES MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-06-01141
Total number of active participants reported on line 7a of the Form 55002019-06-01106
Number of retired or separated participants receiving benefits2019-06-010
Number of other retired or separated participants entitled to future benefits2019-06-010
Total of all active and inactive participants2019-06-01106
Number of employers contributing to the scheme2019-06-010
2018: DOSS ENTERPRISES MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-06-01137
Total number of active participants reported on line 7a of the Form 55002018-06-01141
Number of retired or separated participants receiving benefits2018-06-010
Number of other retired or separated participants entitled to future benefits2018-06-010
Total of all active and inactive participants2018-06-01141
Number of employers contributing to the scheme2018-06-010
2017: DOSS ENTERPRISES MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-06-01125
Total number of active participants reported on line 7a of the Form 55002017-06-01137
Number of retired or separated participants receiving benefits2017-06-010
Number of other retired or separated participants entitled to future benefits2017-06-010
Total of all active and inactive participants2017-06-01137
2016: DOSS ENTERPRISES MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-06-01113
Total number of active participants reported on line 7a of the Form 55002016-06-01113
Number of retired or separated participants receiving benefits2016-06-010
Number of other retired or separated participants entitled to future benefits2016-06-010
Total of all active and inactive participants2016-06-01113

Form 5500 Responses for DOSS ENTERPRISES MEDICAL PLAN

2022: DOSS ENTERPRISES MEDICAL PLAN 2022 form 5500 responses
2022-06-01Type of plan entitySingle employer plan
2022-06-01Plan funding arrangement – InsuranceYes
2022-06-01Plan benefit arrangement – InsuranceYes
2021: DOSS ENTERPRISES MEDICAL PLAN 2021 form 5500 responses
2021-06-01Type of plan entitySingle employer plan
2021-06-01Plan funding arrangement – InsuranceYes
2021-06-01Plan benefit arrangement – InsuranceYes
2020: DOSS ENTERPRISES MEDICAL PLAN 2020 form 5500 responses
2020-06-01Type of plan entitySingle employer plan
2020-06-01Plan funding arrangement – InsuranceYes
2020-06-01Plan benefit arrangement – InsuranceYes
2019: DOSS ENTERPRISES MEDICAL PLAN 2019 form 5500 responses
2019-06-01Type of plan entitySingle employer plan
2019-06-01Plan funding arrangement – InsuranceYes
2019-06-01Plan benefit arrangement – InsuranceYes
2018: DOSS ENTERPRISES MEDICAL PLAN 2018 form 5500 responses
2018-06-01Type of plan entitySingle employer plan
2018-06-01Plan funding arrangement – InsuranceYes
2018-06-01Plan benefit arrangement – InsuranceYes
2017: DOSS ENTERPRISES MEDICAL PLAN 2017 form 5500 responses
2017-06-01Type of plan entitySingle employer plan
2017-06-01Plan funding arrangement – InsuranceYes
2017-06-01Plan benefit arrangement – InsuranceYes
2016: DOSS ENTERPRISES MEDICAL PLAN 2016 form 5500 responses
2016-06-01Type of plan entitySingle employer plan
2016-06-01First time form 5500 has been submittedYes
2016-06-01Submission has been amendedNo
2016-06-01This submission is the final filingNo
2016-06-01This return/report is a short plan year return/report (less than 12 months)No
2016-06-01Plan is a collectively bargained planNo
2016-06-01Plan funding arrangement – InsuranceYes
2016-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HIGHMARK WEST VIRGINIA (National Association of Insurance Commissioners NAIC id number: 54828 )
Policy contract number262872
Policy instance 1
Insurance contract or identification number262872
Number of Individuals Covered234
Insurance policy start date2022-06-01
Insurance policy end date2023-05-31
Total amount of commissions paid to insurance brokerUSD $36,264
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,414,857
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,264
Amount paid for insurance broker fees0
Insurance broker organization code?3
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number262872
Policy instance 1
Insurance contract or identification number262872
Number of Individuals Covered221
Insurance policy start date2021-06-01
Insurance policy end date2022-05-31
Total amount of commissions paid to insurance brokerUSD $49,831
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,438,185
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $49,831
Amount paid for insurance broker fees0
Insurance broker organization code?3
HIGHMARK WEST VIRGINIA (National Association of Insurance Commissioners NAIC id number: 54828 )
Policy contract number262872
Policy instance 1
Insurance contract or identification number262872
Number of Individuals Covered218
Insurance policy start date2020-06-01
Insurance policy end date2021-05-31
Total amount of commissions paid to insurance brokerUSD $50,920
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,463,545
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $50,920
Amount paid for insurance broker fees0
Insurance broker organization code?3
HIGHMARK WEST VIRGINIA (National Association of Insurance Commissioners NAIC id number: 54828 )
Policy contract number262872
Policy instance 1
Insurance contract or identification number262872
Number of Individuals Covered206
Insurance policy start date2019-06-01
Insurance policy end date2020-05-31
Total amount of commissions paid to insurance brokerUSD $56,836
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,764,381
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $56,836
Amount paid for insurance broker fees0
Insurance broker organization code?3
HEALTH PLAN UPPER OHIO VALLEY (National Association of Insurance Commissioners NAIC id number: 95677 )
Policy contract number125807601
Policy instance 1
Insurance contract or identification number125807601
Number of Individuals Covered238
Insurance policy start date2018-06-01
Insurance policy end date2019-05-31
Total amount of commissions paid to insurance brokerUSD $50,032
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,384,232
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $50,032
Amount paid for insurance broker fees0
Insurance broker organization code?3
HEALTH PLAN UPPER OHIO VALLEY (National Association of Insurance Commissioners NAIC id number: 95677 )
Policy contract number125807601 ET AL
Policy instance 1
Insurance contract or identification number125807601 ET AL
Number of Individuals Covered238
Insurance policy start date2017-06-01
Insurance policy end date2018-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,190,768
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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